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  #131  
Old 10-30-2019, 01:28 PM
PoisedGiraffe PoisedGiraffe is offline
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Originally Posted by cpkz View Post
What did y'all put for risk controls the CO-OP should implement related to underwriting, pricing, and claims management risk?
I ended up making a notecard for this, luckily.


It was things like underwriting controls, staggering renewals for pricing, provider diversity, negotiation power, reinsurance contracts, auditing claim management, etc.

Well, assuming this is actually the list they were looking for....

Last edited by PoisedGiraffe; 10-30-2019 at 01:40 PM..
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  #132  
Old 10-30-2019, 01:38 PM
BigBlackBen BigBlackBen is offline
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Originally Posted by PoisedGiraffe View Post
I ended up making a notecard for this, luckily.


It was things like underwriting controls, staggering renewals for pricing, provider diversity, negotiation power, reinsurance contracts, etc.
amazing foresight
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  #133  
Old 10-30-2019, 01:44 PM
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cpkz cpkz is offline
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Quote:
Originally Posted by PoisedGiraffe View Post
I ended up making a notecard for this, luckily.


It was things like underwriting controls, staggering renewals for pricing, provider diversity, negotiation power, reinsurance contracts, auditing claim management, etc.

Well, assuming this is actually the list they were looking for....
Got it, I definitely think I missed that one then, but I did mention reinsurance.

What did people get for the difference in the age/sex and BMI difference between baseline and intervention before and after propensity scoring?
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  #134  
Old 10-30-2019, 01:44 PM
PoisedGiraffe PoisedGiraffe is offline
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amazing foresight
Well I made like 60 extra notecards, so more like just killing myself for 2 points

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  #135  
Old 10-30-2019, 01:50 PM
BigBlackBen BigBlackBen is offline
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Well I made like 60 extra notecards, so more like just killing myself for 2 points

I too spent countless hours (280~ish hours) memorizing things that did not surface on the exam. I am glad I spent extra time reading about those risk techniques
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  #136  
Old 10-30-2019, 02:28 PM
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I too spent countless hours (280~ish hours) memorizing things that did not surface on the exam. I am glad I spent extra time reading about those risk techniques
Me too, did lots of extra notecards and maybe got 2 points extra as a result, but that can be the difference.
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  #137  
Old 10-30-2019, 03:10 PM
MSPActuary MSPActuary is offline
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Yea I wasn’t totally sure what they were looking for, for the risk control stuff. I just said a lot of “process for this, process for that...fix before it gets worse...yadda yadda..” it seemed like they already provided the “risk control list” and just wanted you to comment on procedures within those controls? maybe??
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  #138  
Old 10-30-2019, 06:26 PM
JamesL JamesL is offline
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Originally Posted by PoisedGiraffe View Post
I ended up making a notecard for this, luckily.


It was things like underwriting controls, staggering renewals for pricing, provider diversity, negotiation power, reinsurance contracts, auditing claim management, etc.

Well, assuming this is actually the list they were looking for....
This is how I answered it as well. I also listed out all of the other risk control assessments.
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  #139  
Old 10-30-2019, 07:25 PM
Coloradohiker14 Coloradohiker14 is offline
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This is how I answered it as well. I also listed out all of the other risk control assessments.
This likely sounds more correct... I thought they were looking for that one notecard on which risk controls would be scored favorably from the S&P section, so I listed out the risk identification, risk monitoring & measures, enforcement of risk limits, and risk learning and described each... but that doesn't seem to fit the context of pricing/UW like they were after... hopefully my answer would get partial credit for correctly identifying some of the more general categories.
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  #140  
Old 10-30-2019, 07:38 PM
ncrifa1 ncrifa1 is offline
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Got same 2.505%. ASOP 45 Calc straight from appendix, I guessed right. Risk control subfactor had some stuff about the major risks, insurance risk was one of them. I think thatís what they wanted but if you had the risk control process down thatís generally applied to those 3 specifics: pricing, UW, and claim mgmt.

Overall I think there was a lot of advanced material tested. A few questions straight from past exams.

Live and die by partial credit. Lotta time wasted memorizing risk adj methods, RBC, new topics on Penn Mutual. I think I wouldíve done about the same if it took this and advanced at the same time.
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